Adherence to Antiretroviral Therapy and Tuberculosis Treatment in a Prison of Tehran, Iran

Author(s): Seyed Ahmad Seyed Alinaghi, Behnam Farhoudi, Minoo Mohraz, Amin Alipour, Raheleh Golrokhy, Mostafa Hosseini, Jamal Miri

Journal Name: Infectious Disorders - Drug Targets
Formerly Current Drug Targets - Infectious Disorders

Volume 16 , Issue 3 , 2016

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Graphical Abstract:


Background: The human immune system can be impaired due to lack of adherence to treatment among HIV positive patients. This is reflected in lower levels of CD4 count and incomplete viral suppression leading to the disease's progression and increased risks of opportunistic infections. Little is known about adherence to antiretroviral therapy (ART) and Tuberculosis (TB) treatment and barriers to ART adherence faced by prisoners. Therefore, we conducted a study to evaluate adherence to ART, treatment of latent TB infection (LTBI), and TB treatment and barriers of ART adherence in the Great Tehran Prison in 2014.

Materials and Methods: We conducted a study to evaluate adherence to ART, latent TB infection treatment, and TB treatment via Directly Observed Therapy (DOT) among HIV positive patients in the Great Tehran Prison in 2014. Furthermore, we examined the barriers of adherence to ART through focus group discussions (FGDs) with 22 people living with HIV in the prison.

Results: The mean of adherence to ART, latent TB infection treatment, and TB treatment were 93.3%, 92.7% and 93.3%, respectively. Addiction, negative drug reactions, bad experiences with staffs, and psychosocial and nutritional problems were cited as the most common barriers to adherence.

Conclusion: It is recommended to implement DOT for ART in Iranian prisons. In addition, through removing the barriers and implementation of DOT for ART, HIV positive prisoners can achieve a complete adherence.

Keywords: Adherence, Barriers, Directly Observed Therapy, HIV, Prison, Treatment, Tuberculosis.

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Article Details

Year: 2016
Published on: 13 October, 2016
Page: [199 - 203]
Pages: 5
DOI: 10.2174/1871526516666160616111308
Price: $65

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